Restlessness during sleep or waking up multiple times at night could be a sign of an underlying serious sleep disorder. If you find yourself tired even after a full night’s sleep or if your partner complains about your loud snoring while you are asleep, then this could be due to sleep apnea.
Sleep apnea is a potentially life-threatening health condition where a person suddenly stops breathing for a few seconds during sleep. It is important to have yourself evaluated by a sleep apnea specialist if you suffer such symptoms and this is more often noticed by your sleep partner. Obstructive sleep apnea (OSA) increases the risk of high blood pressure while also putting you at risk of heart attacks, arrhythmias (irregular heartbeats), stroke and other cardiovascular diseases.
What is sleep apnea?
Sleep apnea is a disorder caused by collapse or closure of your airway where breathing is repeatedly interrupted during sleep. This interruption can occur from anywhere between 5 to over 100 times in an hour! The pauses in breathing can last between 10 to 20 seconds, and sometimes as long as more than a minute. During sleep apnea, when you stop breathing, no oxygen enters the lungs, causing a drop in the level of oxygen in the blood. This leads to reduced blood oxygen supply to your brain, heart and other vital organs.
Sleep becomes disturbed in patients with sleep apnea which means that they do not get the deep restorative sleep which is needed for mental alertness and clear memory for a productive next day. Abnormal sleep patterns arise, consisting of frequent long pauses in breathing where the patient suddenly goes silent for a while, followed by a sudden loud gasping, choking or snorting episode when they start to breathe again. This becomes a vicious cycle night after night for prolonged periods, sometimes many years before the patient finally decides to seek medical help for his sleep problems. Sleep apnea needs medical intervention as it leads to many health problems and could even be fatal, leading to sudden death during one’s sleep. A person with the condition may not be aware, but anyone sleeping beside him or her can easily recognise the worrying symptoms of sleep apnea. If your partner suspects you are a victim of sleep apnea, then you should consult an ENT specialist without delay.
What are the types of sleep apnea?
The most common is obstructive sleep apnea (OSA). During this condition, the inflow and outflow of air from the nose is blocked due to throat muscles relaxing and collapsing inwards while sleeping. This will result in loud snoring with recurrent pauses in breathing, night-time waking and gasping or snorting episodes. Another condition is central sleep apnea where the central nervous system is involved. In central sleep apnea, the brain temporarily stops signalling the muscles responsible for breathing to continue. Some patients may suffer from mixed sleep apnea which is a rare combination of both central and obstructive sleep apnea.
What are the causes of sleep apnea?
There could be many reasons for obstructive sleep apnea. Individuals who are overweight tend to have excess fatty tissue deposited just outside the throat. This causes the pressure on the inside of the throat to increase, especially when lying flat during sleep, causing the airway to collapse and close off. In addition, throat muscles can relax even further due to alcohol or medication use prior to sleep, worsening the airway obstruction. Presence of nasal obstruction from nasal allergies or deviated nasal septum, or enlarged tonsils or jaw deformities may also obstruct the airway. Asthma patients and smokers have a higher chance of sleep apnea. This condition is more common in males than women and it increases with age, although this condition may occur at any age.
What are the symptoms of obstructive sleep apnea?
The initial signs are complaints by your partner of loud snoring. Other signs to look out for include:
- Headaches in the morning
- Fatigue and tiredness throughout the day
- Memory loss
- Difficulty focusing or concentrating on the task at hand
- Sore throat
- Dry mouth
- Mood and behavioural changes like irritability and bad temper
What are the health problems associated with obstructive sleep apnea?
In addition to impacting your quality of life, this condition can lead to the following health problems:
- Hypertension (high blood pressure)
- Heart attacks
- Type II Diabetes
- Irregular heartbeat (arrhythmias)
Early treatment can minimise the risk of developing heart attacks and strokes as complications of untreated sleep apnea.
How is obstructive sleep apnea diagnosed?
As there are many reasons why an individual might have sleep disturbances, it is not always easy for your family doctor to suspect that you have sleep apnea. A referral is usually made to an ENT doctor to examine the airway for signs of nose or throat narrowing. Taking your sleep partner along can be helpful as he or she will be able to give an insight on your breathing pattern while asleep and snoring episodes.
Your ENT sleep specialist will take a detailed medical history and perform a physical examination of your nose and throat. Your blood pressure and Body Mass Index (BMI) may also be checked. Additional tests like sleep studies may be needed to confirm the diagnosis.
Polysomnography is a sleep study where your heart, lung and brain activity patterns are measured and oxygen levels monitored while you sleep. Nowadays, most patients usually undergo a home sleep study with a portable device. This used to be done as a hospital-warded procedure where you might have to have yourself monitored all night but a home sleep study can now reliably provide enough good quality sleep data to accurately diagnose and detect sleep apnea.
What is the treatment for obstructive sleep apnea?
First and foremost, your ENT doctor will advise on lifestyle modifications. These include losing weight if you are obese, through a diet and regular exercise regimen. Avoiding alcohol and smoking especially prior to bedtime is strongly recommended. Nasal sprays and antihistamines may be prescribed if you have a blocked nose. If sleep apnea persists even after these measures, then personalised treatment measures will be considered to keep the airways open, with a thorough discussion about CPAP, surgery or a special mouthguard.
In CPAP or continuous positive airway pressure, a special machine delivers pressurised air through the nose and mouth via a fitted mask while the individual is sleeping. These devices help to keep the upper airway passages open while air is continuously pumped in. This prevents the symptoms of snoring and sleep apnea. This is the most widely used method to treat obstructive sleep apnea, but it may not suit everyone. Some people find it uncomfortable and may not attain the right fit. It is important to try different nasal or face masks to find the right fit. Talk to your ENT doctor to check on what suits you the best.
Alternatives to CPAP machines are oral devices or mouthpieces which help to keep the throat open during mild to moderate conditions. Some devices hold the tongue in a different position. Nasal pillow masks are another option if you feel claustrophobic in masks that cover the entire face. Close follow-up helps to achieve successful treatment in patients with obstructive sleep apnea.
If none of these conservative methods work, then your sleep apnea specialist will suggest surgery where excess throat tissue will be removed in a procedure called Uvulopalatopharyngoplasty (UPPP). For very severe cases, upper airway stimulation is another method where an impulse generator detects breathing patterns and controls tongue movement but this is rarely used in clinical practice.
There are many treatment options for obstructive sleep apnea. What is important is to meet an experienced ENT physician without delay and discuss a treatment plan if you are diagnosed with sleep apnea. Dr. Annabelle Leong specialises in treating sleep apnea in Singapore and is a great ENT doctor to visit if you are suffering from sleep apnea.
What Interferes with Successful Breastfeeding?
While breastfeeding is ideal, it comes with many difficulties new parents might face.
After experiencing the intensity of labor and delivery, many new parents are left exhausted. Despite this fatigue and surviving pospartum, new parents soon learn the importance of managing the needs of an infant. Putting aside their own desires, parents learn to quickly adapt.
Exhaustion and recovery are not the only things that discourage parents from breastfeeding. There are a variety of other woes that can make it difficult for a lactating parent to continue to choose this option.
While 83 percent of women breastfeed at the beginning of postpartum, there is a drastic reduction by 6 months, resulting in only 56% of babies still being breastfed.
When a lactating woman’s milk comes in, she may experience intense pain and discomfort. The breasts typically become overly filled with milk because they have not yet regulated their supply. This engorgement can continue throughout the breastfeeding journey for a variety of reasons.
If the baby’s schedule changes, a woman’s breasts can become overly full. If the parent misses a feeding, breasts can experience discomfor which can lead to breastfeeding infection. If a woman becomes preoccupied at work and does not make time to pump, she can experience discomfort.
If breast engorgement is not treated properly, milk ducts can become blocked, and if a woman does not work to move the milk through her breasts (via feeding her baby, pumping, or expressing the milk), this engorgement can lead to further problems and may cause clogged milk ducts.
One of the biggest concerns beyond the pain a woman experiences with engorgement is infection. This is known as mastitis, and leads to a woman experiencing not only breast pain and warm breast tissue, but also flu-like symptoms that come with fever, chills, headache, and further exhaustion.
In order to help prevent infection, regular feedings are essential. Often, the best mastitis treatment, at least for early symptoms, is to massage the breast in a warm shower and express the extra milk.
Furthermore, by working with an International Board Certified Lactation Consultant (IBCLC), parents can have a great resource on how to best deal with, treat, and alleviate these problems.
Not only is an IBCLC a great resource in helping prevent breast infection, but a great source for your breastfeeding journey to encourage and educate you in best practices.
The best way to achieve breastfeeding success is to utilize the many tools that an IBCLC offers.
To exclusively breastfeed your baby can be quite overwhelming and exhausting. Between nightly feedings, cluster feedings, and pumping sessions for working mothers, breastfeeding is difficult to maintain. Unless a woman is properly supported by her family, friends, and workplace, the chances that a woman will continue to breastfeed are significantly impacted.
Culture also impacts the likelihood of a baby being breastfed beyond 6 months. The CDC discovered that parents in the Southeast United States are less likely to breastfeed their children past six months. This was in contrast to the Northwest, where business policies and the culture is more breastfeeding-friendly and supportive.
Despite the nutritional benefits afforded to a breastfed baby, there are many obstacles that can be discouraging for parents on their breastfeeding journey. From exhaustion to pain to lack of supoort, parents have many reasons to give up.
To increase your chances of success, surround yourself with supportive individuals, reach out to an IBCLC, also known as lactation consultants, and gain the necessary tools required to provide your child with the healthiest option available – you!
- Fernando Shahpouri – Fresh Take On Politics September 29, 2023
- Vanex Group’s Superior Exchange Rates Surpass Traditional Banks September 29, 2023
- Hardwood Floors Refinishing: Top Care Tips for a Lasting Shine September 27, 2023
- Kevin Noulowe the most athletic big man Armenia had ever seen September 26, 2023
- The Pros and Cons of Cedar Roofing: A Balanced View September 25, 2023
- Choosing a Reliable Roofing Contractor: 10 Questions to Ask September 25, 2023
- Hardwood Staircase Flooring: Pros, Cons, and Benefits September 21, 2023
- Dr. Mona Jhaveri Explains The Future of Telemedicine: Benefits, Challenges, and Growth Potential September 18, 2023
- 3 Mental Habits To Win Your Wife Back September 11, 2023
- No Contact Done Right: Do THIS To Get Your Ex Back Without Seeming Needy September 11, 2023
Tech3 years ago
Effuel Reviews (2021) – Effuel ECO OBD2 Saves Fuel, and Reduce Gas Cost? Effuel Customer Reviews
Tech4 years ago
Bosch Power Tools India Launches ‘Cordless Matlab Bosch’ Campaign to Demonstrate the Power of Cordless
Lifestyle4 years ago
Catholic Cases App brings Church’s Moral Teachings to Androids and iPhones
Lifestyle3 years ago
East Side Hype x Billionaire Boys Club. Hottest New Streetwear Releases in Utah.
Tech5 years ago
Cloud Buyers & Investors to Profit in the Future
Lifestyle3 years ago
The Midas of Cosmetic Dermatology: Dr. Simon Ourian
Health4 years ago
CBDistillery Review: Is it a scam?
Entertainment4 years ago
Avengers Endgame now Available on 123Movies for Download & Streaming for Free